The Follow-up Peds-AIRQ® is to be used with health care providers during clinical encounters which occur between annual visits for asthma-related care.
Follow-up Peds-AIRQ®
Peds-AIRQ® was created for children 5 to 11 years who have been diagnosed with asthma and should be used with health care providers during visits for asthma-related care.
Please answer all of the questions below, and click “CALCULATE SCORE” when complete. You will have an opportunity to print or save your results, which should be shared with your health care provider.
These questions are about your child's asthma. This form should be completed by parents or caregivers with input from their child.
Please answer all the questions to be able to
calculate the overall score.
In the past 2 weeks has coughing, wheezing, shortness of breath, or chest tightness:
1 OF
In the past 2 weeks has coughing, wheezing, shortness of breath, or chest tightness:
Occurred during the day on 5 or more days?
2 OF
In the past 2 weeks has coughing, wheezing, shortness of breath, or chest tightness:
Woke you or your child up from sleep on any night?
3 OF
In the past 2 weeks has coughing, wheezing, shortness of breath, or chest tightness:
Caused your child to use rescue medication (inhaler or nebulizer) on 2 or more days?
4 OF
In the past 2 weeks:
Did your child limit or stop planned activities because of their asthma symptoms?
5 OF
In the past 2 weeks:
Did asthma symptoms limit your child from being physically active (such as running, playing, gym class, doing sports)?
6 OF
In the past 3 months, has coughing, wheezing, shortness of breath, or chest tightness:
Caused your child to take steroid pills. liquids or shots such as prednisone or Medrol®?
7 OF
In the past 3 months, has coughing, wheezing, shortness of breath, or chest tightness:
Caused your child to go to the emergency room, urgent care or have unplanned visits to a health care provider?
8 OF
In the past 3 months, has coughing, wheezing, shortness of breath, or chest tightness:
Caused your child to stay in the hospital overnight?
REVIEW
In the past 2 weeks has coughing, wheezing, shortness of breath, or chest tightness:
Occurred during the day on 5 or more days?
Woke you or your child up from sleep on any night?
Caused your child to use rescue medication (inhaler or nebulizer) on 2 or more days?
In the past 2 weeks:
Did your child limit or stop planned activities because of their asthma symptoms?
Did asthma symptoms limit your child from being physically active (such as running, playing, gym class, doing sports)?
In the past 3 months, has coughing, wheezing, shortness of breath, or chest tightness:
Caused your child to take steroid pills. liquids or shots such as prednisone or Medrol®?
Caused your child to go to the emergency room, urgent care or have unplanned visits to a health care provider?
Caused your child to stay in the hospital overnight?
The score is calculated from the total number of YES responses from the questions above
MY RESULTS
What Does Your Child's Pediatric AIRQ® Score Mean?
The Pediatric AIRQ® is meant to help your child's health care providers talk with you and your child about your child's asthma control. The Pediatric AIRQ® does not diagnose asthma. Whatever your child's Pediatric AIRQ® score (total YES answers), it is important for your child's health care team to discuss the number and answers to each of the questions with you and your child. All patients with asthma, even those who may be well-controlled, can have an asthma attack. As asthma control worsens, the chance of an asthma attack increases.1 Only your child's medical provider can decide how best to assess and treat your child's asthma.
1Global Strategy for Asthma Management and Prevention: ©2025 Global Initiative for Asthma
HOW TO GET MY RESULTS
WANT ADDITIONAL ASTHMA RESOURCES?
Access additional asthma resources to help you partner with your patients to create an optimal treatment plan.
*Medrol® (Pfizer, Inc.) or methylprednisolone
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The trademarks depicted above are the property of their respective owners.